NPI | 1962803593 |
---|---|
Former Name | CHARLINDA HENDRICKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171WH0202X Contractor, Home Modifications (Licence: PA OC012961) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC012961) |
Enumeration Date | 2014-09-15 |
Last Update Date | 2022-07-01 |